Hagan, John
Hagan, John is an individual health care provider with primary practice located at 1501 E Mockingbird Ln Ste 220 , Victoria TX 77904-2194. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hagan, John can be contacted via phone (361) 573-2481.Contact Information
Primary practice address
1501 E Mockingbird Ln Ste 220
Victoria TX 77904-2194
Phone: (361) 573-2481
Fax: (361) 576-2434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 586524 | Texas |
Profile Details
NPI number | 1851480354 |
---|---|
LBN Legal business name | Hagan, John |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851480354 | NPPES |
Texas | Other | CR35297 | WORKERS COMP |
Texas | Other | 88797C | WORKERS COMP |
Texas | Other | 742710179A017 | WORKERS COMP |
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